关键词: 胆道镜取石, 复发性 , 肝胆管结石, 经皮经肝胆道造瘘

Abstract:

Objective To Summarize our experience on percutaneous transhepatic one?stage lithotomy with choledochoscope in treatment of recurrent hepatolithiasis. Methods A retrospective analysis of clinical data in 22 cases with recurrent hepatolithiasis in our hospital from October 2014 to June 2016 was performed. The patients were treated by direct puncture of hepatic duct under B?ultrasound guidance to establish a percutaneous tract ，and then lithotomy with choledochoscope for extraction of the bile duct stones was performed contemporaneously. Results Twenty?one patients were successful to be extracted stone，only one patient was converted to laparotomy. Of 21 cases，17 were healed in one?time stone removal，three underwent two?time operation，one received three?time operation. The main complication was hemobilia and was treated conservatively ，and no serious complications and death. No recur?rence was found in all patients followed up until now. Conclusion In properly selected patients of recurrent hepatolithiasis，synchronous treatment of percutaneous transhepatic and choledochoscopy is feasible，effective and safe.

Key words: choledochoscopy, hepatolithiasis, percutaneous transhepatic, recurrent